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Bad (Doctor) News, and Things Looking Up

It has been a somewhat rough week so far, but I am hoping things are going to get better.

As most folks who read this blog know, I've got a pretty bad wrist that has been getting slowly worse over the last three or four months now. I've spent a large chunk of time the last two days wearing a wrist brace on my right hand, and have been off the computer pretty much during that period (other than a bit of Tweeting) and doing the work for the office that has to be done. I am scheduled for an MRI of the wrist at end of August...at least I was.

The doctor called me at work yesterday, saying that I needed to come into the office right away as he needed to talk to me. So I took off from work around lunchtime, and went over there. He gave me the bad news that the MRI has been delayed another month, 'til the end of September. It just comes down to the fact that MRIs are in big demand, and my case is down at the bottom of the totem pole compared other. I got back to the office, angry and depressed. Angry that I'd had to go to the damn doctor's office to get that news, rather than him just telling me that over the phone. Depressed because the pain has gotten worse, and because it's not getting any better. I have no idea how I'm going to keep going with this, other than with painkillers and Goddess only knows what else.

In good news today, my copy of the new Pelgrane Press Mutant City Blues' game supplement, Hard Helix, arrived in my snail post today. Book looks really good, and I'm looking forward to reading it. (That and getting some work done on a few other roleplaying game projects in the pipeline.) And tomorrow, I have to take the day off work, as the new bed will arrive at the house sometime tomorrow. Sleeping should be interesting over the course of the weekend. Unfortunately, there's no one to break in the bed with me (if you catch my drift), sad but true. :)

Anyway, time to get off the computer and just relax. Try and let the wrist get as much rest as I can.

Comments

( 13 comments — Leave a comment )
baron_waste
Aug. 6th, 2009 01:40 am (UTC)

What the heck they need to do an MRI for, is what I wonder. You ought to find a doctor who knows how to diagnose. If it's a bone problem, an X ray should show that, and if it's inflammation of a tendon or whatever, therapy for that should be available.

I would suggest you get a second opinion, if you ca afford it.

mamaursula
Aug. 6th, 2009 02:28 am (UTC)
That is not necessarily true, MRI's will help determine what kind of tendon/muscle issue is actually the problem and whether or not something is torn and if it can be repaired with surgery.
jkahane
Aug. 6th, 2009 02:31 pm (UTC)
Yep, what you said. :)
jkahane
Aug. 6th, 2009 02:31 pm (UTC)
Actually, MRIs are useful for determining the type of muscle/tendon damage, and whether surgery is indicated. Among other things.
doc_mystery
Aug. 6th, 2009 01:43 am (UTC)
Sorry to hear this bad news, ditto the frustrating way you heard it.

Can you ask to be referred to a Physio for some pain modifying hand physiotherapy treatments (stretching, immobilization, strengthening exercises, etc.)?

::B::
jkahane
Aug. 6th, 2009 02:33 pm (UTC)
I actually asked the doctor for a reference for physiotherapy, thinking that might help for the reasons you suggest, and he gave me a couple of references. Going to make some calls today, in between waiting for the new bed and all.
corradus
Aug. 6th, 2009 02:06 am (UTC)
This odd reticence doctors have for not wanting to say stuff over the phone is annoying as hell if you ask me.

Yes, obviously there are some things you prolly shouldn't disseminate impersonally, but gawd almighty he could have told you THAT over the blower. I hope you gave him royal shit but good.
doc_mystery
Aug. 6th, 2009 03:30 am (UTC)
A Family MD who is fee for service can't bill for a telephone discussion with a patient in the province of Ontario.

They *can* bill for discussing matters with a patient in their office.

Whether or not this is the correct, practical or most efficient way to do things is another matter entirely.

::B::

corradus
Aug. 6th, 2009 03:32 am (UTC)
*a light turns on* ohhhhhh....yes, of course. Good point.
jkahane
Aug. 6th, 2009 02:36 pm (UTC)
I would argue that it wasn't the correct, practical, or most efficient way of handling it. A phone call would have sufficed.
jkahane
Aug. 6th, 2009 02:35 pm (UTC)
Yeah, he could have told me that over the phone. Or even gotten the receptionist to do so. The problem is that I suspect he can't bill for a phone call, but he can bill for an office visit.

Still, I was pretty annoyed and I gave him a piece of my mind about the whole business before I left the office. He actually apologised for this, though.
mamaursula
Aug. 6th, 2009 02:32 am (UTC)
If I were an insurance bearing individual and I wanted to spend some time sitting around in a waiting room, I might find myself in an Emergency Room complaining of unbearable pain that is not being addressed by my pain medications and when I got back to see the ER doctor I might let it slip that "No, I don't really want more medication, I would like to have maybe, oh an X-ray and if that didn't show anything, an MRI"...and well, that might be what I would do.

I am rather surprised that there are so few MRI's in your area that you actually have to be pushed back. Your pain is every bit as valid as whatever individual who needs the time you were assigned. You are the only advocate you're going to get.
w00hoo
Aug. 6th, 2009 08:05 am (UTC)
A route would definitely be to emphasise the amount of pain and, maybe, how it is actually stopping you working. I know you're soldiering on at the moment because things 'have to be done' but experience in the UK (where they send you a letter to tell you that your MRI/whatever has been delayed incidentally) is that once you start having serious problems functioning they speed things up, if you are stoically carrying on then they work at their own, normal, slower, pace.

And aside from that, sorry to hear you're having more problems with it all, I know how difficult it can be when you're in pain all the time and just get hit with set backs that seem so arbitrary.

Edited at 2009-08-06 08:06 am (UTC)
( 13 comments — Leave a comment )

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John Kahane

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